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Citation |
Wadhwa S, Heisel MJ. Clin. Gerontol. 2019; ePub(ePub): ePub. |
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Affiliation |
Department of Psychiatry, Center for the Study and Prevention of Suicide, University of Rochester Medical Center , Rochester , New York , USA. |
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Copyright |
(Copyright © 2019, Informa - Taylor and Francis Group) |
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DOI |
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PMID |
31635560 |
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Abstract |
Objectives: To derive a brief late-life suicide resiliency scale from the 69-item Reasons for Living Scale-Older Adult version (RFL-OA). Methods: We conducted a series of secondary analyses of RFL-OA data (N = 204) from a dataset combining: 1. A follow-up assessment of nursing home residents in the Geriatric Suicide Ideation Scale (GSIS) development study; 2. A trial of Interpersonal Psychotherapy (IPT) with suicidal older adults; 3. A longitudinal study of risk and resiliency to late-life suicide ideation. We specifically assessed the distributions of RFL-OA items and their associations with suicide ideation and behavior to create an RFL-Suicide Resiliency subscale (RFL-SR); we then tested the psychometric properties of this measure's items drawn from the larger RFL-OA. Results: Nine RFL-OA items were significantly associated with suicide ideation and history of suicide behavior and were not highly correlated with social desirability. Psychometric analyses supported the internal consistency, test-retest reliability, and construct validity of this scale. Conclusions: The items of the RFL-SR demonstrated strong psychometric properties with older adults in clinical and community settings. Clinical Implications: The RFL-SR may make a useful addition to suicide risk assessment in gerontological research and clinical practice. Language: en |
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Keywords |
RFL; Suicide risk; assessment; older adults; psychological resiliency; reasons for living; screening; suicide ideation |