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Psychometric validation of the Geriatric Suicide Ideation Scale (GSIS) among older adults with bipolar disorder

机译：双极障碍老年人老年成年人的老年人自杀念头（GSIS）的心理测量验证

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Objectives: Across age groups, bipolar disorder (BD) carries the greatest risk of death by suicide of all psychiatric conditions; 25%-50% of those with BD will make one or more suicide attempt. Psychometrically sound instruments are required to reliably measure suicide ideation and risk of self-harm for older adults with BD. For this study, we validate the geriatric suicide ideation scale (GSIS) with adults 50+ years with BD.Methods: We recruited a global sample of 220 older adults with BD (M = 58.50years of age) over 19days using socio-demographically targeted, social media advertising and online data collection. To demonstrate the construct validation of GSIS responses by older adults with BD, we computed correlations and performed regression analyses to identify predictors of suicide ideation.Results: Our analyses support a four-factor model of responses to the GSIS (ideation, death ideation, loss of personal and social worth, and perceived meaning in life) measuring a higher order latent construct. Older adults with BD reporting low satisfaction with life and current depressive symptoms, and who misuse alcohol, report significantly higher levels of suicide ideation. Sleep quality and cognitive failures are also correlated with GSIS responses.Conclusions: Results support the factorial validity of the GSIS with older adults with BD. Similar to other populations, the GSIS measures a four-factor structure of suicide ideation. Across BD subtypes, the GSIS appears to reliably measure suicide ideation among older adults with BD.
机译：目标：跨年龄群体，双相情感障碍（BD）通过自杀所有精神病条件的自杀风险最大; 25％-50％的BD将制作一种或多种自杀。精神测量仪器需要可靠地测量自杀式思想和与BD的老年人的自我伤害的风险。对于这项研究，我们将成年人与BDMethods验证了成年人的老年人自杀式展示（GSIS） ，社交媒体广告和在线数据收集。为了展示与BD的老年人的GSIS响应构建GSIS响应，我们计算了相关性并进行了回归分析，以识别自杀Ideation的预测因子。结果：我们的分析支持GSIS的四因素响应模型（识别，死亡，丢失人身和社会价值，生命中的意义，衡量高阶潜在构建。较老年人与BD报告与生命和目前抑郁症状的低满意度，滥用酗酒，报告较高的自杀式思想。睡眠质量和认知故障也与GSIS响应相关。结论：结果支持GSIS与BD的老年人的因子有效性。类似于其他人群，GSIS测量自杀式思想的四因素结构。跨越BD亚型，GSIS似乎可靠地测量使用BD的老年人的自杀意图。

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