The Indonesian Version of the Depressive Symptom Index-Suicidality Subscale: Adaptation and Psychometric Evaluation

Lavenda Geshica; Ferdi W Djajadisastra; Sugiarti Sugiarti

doi:10.22146/jpsi.83712

The Indonesian Version of the Depressive Symptom Index-Suicidality Subscale: Adaptation and Psychometric Evaluation

Lavenda Geshica, Ferdi W Djajadisastra, Sugiarti Sugiarti

(Submitted 7 April 2023)

(Published 30 August 2023)

Abstract

Suicide is a severe health problem currently a global concern that causes approximately 703,000 deaths each year. 75% of suicide occurs at productive age, with university students as subgroups that are prone to experience suicidal thoughts and behaviors. This study aimed to adapt Depressive Symptom Index- Suicidality Subscale (DSI-SS) into the Indonesian language and evaluate its psychometric properties. The International Test Commission (ITC) requirements were used as a reference in the adaptation process. Moreover, to evaluate the psychometric properties, 510 university students from various regions in Indonesia participated in this study. The result showed that the DSI-SS Indonesia version has good psychometric properties. The corrected item-total correlation ranged from 0.837-0.872, with an alpha reliability coefficient of 0.936. The DSI-SS highly correlated with a test that evaluates depression symptoms (the PHQ-9) and a history of suicide attempts. The exploratory factor analysis also supports the validity evidence, indicating that the DSI-SS is a unidimensional scale.

Keywords

DSI-SS; suicide; measurement; university students

Full Text: PDF

DOI: 10.22146/jpsi.83712

References

Batterham, P. J., Ftanou, M., Pirkis, J., Brewer, J. L., Mackinnon, A. J., Beautrais, A., Kate Fairweather-Schmidt, A., & Christensen, H. (2015). A systematic review and evaluation of measures for suicidal ideation and behaviors in population-based research. Psychological Assessment, 27(2), 501–512. https://doi.org/10.1037/pas0000053

Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures. In SPINE (Vol.25, Issue 24).

Blanchard, M., & Farber, B. A. (2020). “It is never okay to talk about suicide”: Patients’ reasons for concealing suicidal ideation in psychotherapy. Psychotherapy Research, 30(1), 124–136. https://doi.org/10.1080/10503307.2018.1543977

Boudreaux, E. D., & Horowitz, L. M. (2014). Suicide Risk Screening and Assessment: Designing Instruments with Dissemination in Mind. American Journal of Preventive Medicine, 47(3, Supplement 2), S163–S169. https://doi.org/https://doi.org/10.1016/j.amepre.2014.06.005

Dozois, D. J. A., & Covin, R. (2004). The Beck Depression Inventory-II (BDI-II), Beck Hopelessness Scale (BHS), and Beck Scale for Suicide Ideation (BSS). In Comprehensive handbook of psychological assessment, Vol. 2: Personality assessment.

(pp. 50–69). John Wiley & Sons, Inc.

Dube, P., Kroenke, K., Bair, M. J., Theobald, D., & Williams, L. S. (2010). The P4 screener: Evaluation of a brief measure for assessing potential suicide risk in 2 randomized effectiveness trials of primary care and oncology patients. Primary

Care Companion to the Journal of Clinical Psychiatry, 12(6). https://doi.org/10.4088/PCC.10m00978blu

Firestone, R. (1998). Voices in Suicide: The Relationship Between Self-Destructive Thought Process, Maladaptive Behavior, and Self-Destructive Manifestations. Death Studies, 22(5), 411–443. https://doi.org/10.1080/074811898201443

Joiner, T. E., Pfaff, J. J., & Acres, J. G. (2002). A brief screening tool for suicidal symptoms in adolescents and young adults in general health settings: reliability and validity data from the Australian National General Practice Youth Suicide Prevention Project. Behaviour Research and Therapy, 40(4), 471–481. https://doi.org/https://doi.org/10.1016/S0005-7967(01)00017-1

Kline, P. (1986). Making tests reliable II: Personality inventories." A handbook of test construction: Introduction to psychometric design. Methuen. Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2003). The Patient Health

Questionnaire-2: Validity of a Two-Item Depression Screener. Medical Care, 41(11), 1284–1292. http://www.jstor.org/stable/3768417

Logan, B., & Burns, S. (2021). Stressors among young Australian university students: A qualitative study. Journal of American College Health, 1–8.https://doi.org/10.1080/07448481.2021.1947303

May, A. M., & Klonsky, E. D. (2016). What distinguishes suicide attempters from suicide ideators? A meta‐analysis of potential factors. Clinical Psychology: Science and Practice, 23, 5–20. https://doi.org/10.1037/h0101735

Merritt, M., Fisher, L., Goldney, R. D., & Watson, D. (2001). The measurement of suicidal ideation. Crisis, 22(1), 12–14. http://dx.doi.org/

Metalsky, G. I., & Joiner, T. E. (1997). The Hopelessness Depression Symptom Questionnaire. Cognitive Therapy and Research, 21(3), 359–384. https://doi.org/10.1023/A:1021882717784

Millner, A. J., Lee, M. D., & Nock, M. K. (2015). Single-Item Measurement of Suicidal Behaviors: Validity and Consequences of Misclassification. PLOS ONE, 10(10), e0141606. https://doi.org/10.1371/journal.pone.0141606

Ministry of Health of the Republic of Indonesia. (2019). Situasi dan Pencegahan Bunuh Diri .

Nunnally, J. C. (1978). Psychometric Theory 2nd ed. Mcgraw hill book company.

O’Neill, S., McLafferty, M., Ennis, E., Lapsley, C., Bjourson, T., Armour, C., Murphy, S.,

Bunting, B., & Murray, E. (2018). Socio-demographic, mental health and childhood adversity risk factors for self-harm and suicidal behaviour in College students in Northern Ireland. Journal of Affective Disorders, 239, 58–65.https://doi.org/https://doi.org/10.1016/j.jad.2018.06.006

Prawira, B., Magdalena, S., Jenifer, M., Rachmadianti, S., Hanifa, S., Liem, A., Perilaku, L., Layanan, P., & Mental, K. (2021). Seri Laporan ke-1: Laporan Perilaku Penggunaan Layanan Kesehatan Mental di Indonesia 2021 – Hasil Awal. www.intothelightid.org.

Richardson, T., Elliott, P., Roberts, R., & Jansen, M. (2017). A Longitudinal Study of Financial Difficulties and Mental Health in a National Sample of British Undergraduate Students. Community Mental Health Journal, 53(3), 344–352. https://doi.org/10.1007/s10597-016-0052-0

Sadeghi Bahmani, D., Faraji, P., Faraji, R., Lang, U. E., Holsboer-Trachsler, E., & Brand, S. (2018). Is emotional functioning related to academic achievement among university students? Results from a cross-sectional Iranian sample. Revista Brasileira de Psiquiatria, 40(3), 290–295. https://doi.org/10.1590/1516-4446-2017-2434

Sommers-Flanagan, J., & Shaw, S. L. (2017). Suicide risk assessment: What psychologists should know. Professional Psychology: Research and Practice, 48, 98–106. https://doi.org/10.1037/pro0000106

Spitzer, R. L., Williams, J. B. W., Kroenke, K., Linzer, M., deGruy III, F. V., Hahn, S. R., Brody, D., & Johnson, J. G. (1994). Utility of a New Procedure for Diagnosing Mental Disorders in Primary Care: The PRIME-MD 1000 Study. JAMA, 272(22), 1749–1756. https://doi.org/10.1001/jama.1994.03520220043029

Stevens, P. J. (2009). Applied multivariate statistics for the social sciences (5th ed.). Routledge.

Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S. R., Selby, E. A., & Joiner, T. E. (2010). The Interpersonal Theory of Suicide. Psychological Review, 117(2), 575–600. https://doi.org/10.1037/a0018697

World Health Organization. (2021). Suicide worldwide in 2019: global health estimates.

Refbacks

There are currently no refbacks.

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.